Customer Service Management

FELICIA BYNUM

*** ***** ******* ( Richmond, CA **801 ( 510-***-**** (

********@*****.***

SUMMARY

Responsible and dedicated office professional that possess exceptional

interpersonal and communication skills. Highly motivated individual with

expertise in administration, customer service, operation and project

management. Extremely organized and detail-oriented with high aptitude for

learning, excellent problem-solving, and analytical skills. Effective time

management in stressful situations to handle a variety of assignments from

start to finish. Proven ability to meet project deadlines under pressure

and maintain close attention to detail. Results-driven team player

committed to achieving company goals. Energetic, persuasive and tenacious.

Skills: Proficient in Microsoft Applications Outlook,

international/domestic shipping, written correspondence, Staff Training and

CPT code /ICD-9

WORK EXPERIENCE

Stanford Healthcare - University Healthcare Alliance,

Oakland, CA May 2013 - Present

Lead Claims Coordinator

. Contact insured or other involved persons to obtain missing

information.

. Post or attach information to claim file

. Prepare insurance claim forms or related documents and review them for

completeness.

. Organize or work with detailed records, using computers to enter

access, search or retrieve data.

. Outstanding listening and interpersonal skills with the ability to

effectively work and communicate with providers.

. Complying documentation for healthcare plan audit for BlueShield,

BlueCross, Humana, Health Net, Scan and Aetna.

. Update the records after approval of claims

. Keep a check on the inventory of stationery, pamphlets, etc., and

inform the purchase department about the requirements.

. Close coordination with different department heads.

. Responded to written and/or verbal appeals submitted by members and

providers in accordance with the regulations.

. Provider Adds and update with verification of federal W-9 form

utilized to complete data base management.

Cigna Corporation - Coastwise Claims Office, San Francisco, CA

Jan 2009 - Jan 2013

Receptionist/Administrative Support

. Operate Avaya multi-line phone system, answer average of 300

calls/day, and direct customer to the appropriate department or

individual.

. Provide technical support to others with operating the Avaya multi-

line phone system.

. Direct and track 25-50 incoming deliveries and shipments.

. Provide confidential forms to be signed by members and collect

completed forms for processing.

. Assist with sorting incoming medical claims and returned checks and

verify data in computerized claims processing system.

. Retrieve and route incoming electronic faxes to individuals in various

departments.

. Create digital medical files using social numbers and claim number and

medical plan type.

. Assist with orientation and training co-workers on special projects.

. Verify 500-1000 medical claims in house claims system.

. Process monthly, quarterly, and annual reports used by management.

. Liaison to building personnel, such as maintenance and janitorial

services.

. Research and process subpoena request.

Corestaff, San Francisco, CA Jan 2008 - Dec 2009

Receptionist/Administrative Support

. Greet and directed visitors to appropriate conference room.

. Scheduled manager meetings, registering 10-30 clients for one-on-one

consolations, workshops, and seminars.

. Prepared up to eight conference rooms for meetings.

. Managed presentation feeds, video, and phone conferences.

. Ordered supplies and meals for company events.

. Retrieved Employee Tracking Reports for management.

. Updated security clearance for trading floor.

Dynamic Solutions, Danville, CA Dec 2005 - Jan 2008

Administrative/Accounting

. Worked with vendors on shipments sent to local stores in Northern

California.

. Handled Accounts Receivable/Payable by mail and Credit Cards.

. Created price book spreadsheets for management to approve and use.

. Sent Rejection and Acceptance Correspondences letters.

. Set up conference rooms for product review.

. Created files, manuals, and brochures.

EDUCATION

. El Cerrito High School, El Cerrito, CA - High School Diploma

. San Francisco City College, San Francisco, CA - Graphic Design

Contact this candidate